TROOP REGISTRATION FORM Central Luzon Region PAMPANGA GIRL SCOUT COUNCIL
Troop Name: Age Level:
School Contact No: Address: District: Division: REGISTRATION OF LEADERS REG. STATUS POSITION T/NT OLD NEW NAME (Last, First, M.I.) BIRTHDATE BENEFICIARY Troop Leader Co-Leader REGISTRATION OF TROOP MEMBERS Name BIRTHDATE Reg. Status GR/YR BENEFICIARY (Last Name, First Name, M.I.) MM DD YY Re-Reg. New Name of Patrol/Cluster: 1 2 3 4 5 6 7 8 Name of Patrol/Cluster: 1 2 3 4 5 6 7 8 Name of Patrol/Cluster: 1 2 3 4 5 6 7 8 Name of Patrol/Cluster: 1 2 3 4 5 6 7 8 Name of Patrol/Cluster: 1 2 3 4 5 6 7 8
Submitted by: Noted by:
Troop Leader Date Principal Head/School
COUNCIL ACTION REMITTANCE Troop Number:
A. GSP Membership Fee ₱ 50.00 ₱ No. of cards issued: TOTAL ₱ 50.00 (Input no. of registration on the blank to compute for total remmittance) Girls: to Girls ₱ 0.00 Adults: to Leader ₱ 0.00 Co-Leader ₱ 0.00 Processed by: TROOP FEE 10.00 Total Remittance ₱ Registration Officer Date Approved by: AR NO. DCCR NO. Council Executive Date